SHU FENG JUNG


Address: 1075 N Western Ave, # 110, Los Angeles, CA 90029-2307
Phone: 3239578787

SHU FENG JUNG (NPI# 1750415493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750415493
Entity Type Individual
Full Name SHU FENG JUNG
Credential RNP
Practice Address 1075 N Western Ave
# 110
Los Angeles
CA 90029-2307
Practice Telephone 3239578787
Practice Fax Number 3239578777
Mailing Telephone 3239578787
Mailing Fax Number 3239578777
Enumeration Date 2007-03-15
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
RNP 7698 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RN 429059 05
CA NURSE PRACTITIONER NP 7698 01

Office Location

Street Address 1075 N WESTERN AVE
# 110
City LOS ANGELES
State CA
Zip Code 90029-2307

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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